Individual provider Active NPI

Joseph James Canestrari, PA-C

  • Surgical Physician Assistant
  • Melbourne, FL
National Provider Identifier
1871700161
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9104146 Issued in FL
Practice address
240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Phone
(321) 541-1777
Fax
(321) 541-1797
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9104146 FL Primary

Addresses

Primary practice location

240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663

Mailing address

240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Phone (321) 541-1777

Other practice location 1

709 S Harbor City Blvd
Suite 100
Melbourne, FL 32901-1938
Phone (321) 725-2225

Other practice location 2

240 N Wickham Rd Ste 108
Melbourne, FL 32935-8663
Phone (321) 541-1777

Other practice location 3

240 N Wickham Rd Ste 104
Melbourne, FL 32935-8663
Phone (321) 541-1777

Other identifiers 2

IdentifierTypeStateIssuer
Y04XMOtherFLFLORIDA BLUE
106496100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000208 FL Practitioner - Physician Assistant 2668563529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

2225 S Babcock St
Suite 110
Melbourne, FL 32901-5305
Phone (321) 425-4321

240 N Wickham Rd
Melbourne, FL 32935-8662
Phone (321) 541-1777

250 N Wickham Rd
Melbourne, FL 32935-8625
Phone (321) 752-1200

32 W Gore St
Orlando, FL 32806-1134

3680 N Wickham Rd
Suite B
Melbourne, FL 32935-2327
Phone (321) 255-5500

4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104146FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 31, 2019 Accepting new patients
Steward Medical Group, Inc. CurrentSince Oct 31, 2019 Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

240 N Wickham Rd
Ste 104
Melbourne, FL 32935
Phone (321) 242-1325

240 N Wickham Rd
Ste 102
Melbourne, FL 32935
Phone (321) 541-1746

240 N Wickham Rd
Ste 108
Melbourne, FL 32935
Phone (321) 541-1777

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1871700161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 S Harbor City Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011938",
            "country_code": "US",
            "telephone_number": "321-725-2225",
            "fax_number": "321-308-0635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 N Wickham Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329358663",
            "country_code": "US",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 N Wickham Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329358663",
            "country_code": "US",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANESTRARI",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y04XM",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106496100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.